Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
11,666
Total Claims
$697K
Drug Cost
700
Beneficiaries
$995
Cost/Patient
Risk Score Breakdown 21/100
Score components are additive. Read full methodology
Peer Comparison vs. 110,156 Internal Medicine providers
+11%
Opioid rate vs peers
2.5% vs 2.2% avg
-29%
Cost per patient vs peers
$995 vs $1,411 avg
-7%
Brand preference vs peers
9.9% vs 10.6% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 Data Overview
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
2.5%
Opioid Rate
290
Opioid Claims
$4,490
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 1,152 claims · $504K
Generic: 10,462 claims · $191K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Apixaban | 162 | $135K |
| Sitagliptin Phosphate | 88 | $75K |
| Empagliflozin | 41 | $44K |
| Rivaroxaban | 29 | $34K |
| Mirabegron | 71 | $26K |
| Semaglutide | 18 | $22K |
| Semaglutide | 11 | $19K |
| Potassium Chloride | 367 | $14K |
| Fluticasone/Umeclidin/Vilanter | 21 | $13K |
| Exenatide Microspheres | 13 | $11K |
| Tiotropium Bromide | 21 | $11K |
| Atorvastatin Calcium | 894 | $10K |
| Fluticasone/Vilanterol | 20 | $9,572 |
| Insulin Glargine,hum.Rec.Anlog | 25 | $9,525 |
| Levothyroxine Sodium | 474 | $7,671 |
Prescribing Profile
Patient Profile
76
Avg Age
84%
Female
1.13
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About